Direct Deposit Use this form to instruct your employer or other income sources to direct recurring deposits to your Children’s Aid College Savers Account.* Follow these easy steps: 1. Complete all the fields below 2. Be sure to fill in the amount you wish to deposit to your Children’s Aid College Savers Account 3. Fill in the Children’s Aid College Savers Account # found on your Children’s Aid College Savers Account Card 4. Sign and Date the form 5. Submit to your employer or other fund originator EMPLOYEE NAME (PLEASE PRINT): EMPLOYEE ID OR SOCIAL SECURITY NUMBER: EMPLOYEE WORK PHONE NUMBER: I wish to deposit to my Children’s Aid College Savers Account: (CHECK ONE) ☐ ENTIRE NET PAY ☐ ______% OF NET PAY ☐ SPECIFIC AMOUNT: $ ________________ .00 ACCOUNT NUMBER: Children’s Aid College Savers Account #7019202 __ __ __ __ __ __ __ __ __ ☐ X CHILDREN’S SAVINGS ACCOUNT FINANCIAL CENTER ADDRESS: Citibank N.A. CITY, STATE, ZIP CODE: New Castle, DE 19720 CITIBANK ABA ROUTING NUMBER: 031100209 I authorize: EMPLOYER OR FUND ORIGINATOR to initiate credit entries and, if necessary, to initiate any debit entries and adjustments to correct any erroneous credit entries to my Children’s Aid College Savers Account. SIGNATURE: X DATE: I understand that this authorization will remain in full force and effect until the company named here has received written notification from me of its termination in such time as to afford the company and depository a reasonable opportunity to act. • PLAY IT SAFE Direct deposit should take effect within three deposit periods — if you don’t see it by then, contact your employer. Note that some organizations or companies (like Social Security) may require you to use a special form. Contact your employer or income source to make sure no other forms are required. • IF YOU HAVE QUESTIONS ON COMPLETING THIS FORM, CALL YOUR PROGRAM AT 646.741.3500 HELPFUL INFO *This authorization form is valid only to initiate a direct deposit of funds to a Children’s Aid College Savers Account. Participation in direct deposit is contingent upon your employer or fund originator offering the service and your eligibility to participate. 1737990 08/18 College Savers

Follow these easy steps - Children's Aid Society · Follow these easy steps: 1. Complete all the fields below 2. Be sure to fill in the amount you wish to deposit to your Children’s

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Direct DepositUse this form to instruct your employer or other income sources to direct recurring deposits to your Children’s Aid College Savers Account.*

Follow these easy steps:

1. Complete all the fields below

2. Be sure to fill in the amount you wish to deposit to your Children’s Aid College Savers Account

3. Fill in the Children’s Aid College Savers Account # found on your Children’s Aid College Savers Account Card

4. Sign and Date the form

5. Submit to your employer or other fund originator

EMPLOYEE NAME (PLEASE PRINT):

EMPLOYEE ID OR SOCIAL SECURITY NUMBER:

EMPLOYEE WORK PHONE NUMBER:

I wish to deposit to my Children’s Aid College Savers Account: (CHECK ONE)

☐ ENTIRE NET PAY ☐ ______ % OF NET PAY ☐ SPECIFIC AMOUNT: $ ________________ .00

ACCOUNT NUMBER: Children’s Aid College Savers Account #7019202 __ __ __ __ __ __ __ __ __

☐X CHILDREN’S SAVINGS ACCOUNT

FINANCIAL CENTER ADDRESS: Citibank N.A.

CITY, STATE, ZIP CODE: New Castle, DE 19720

CITIBANK ABA ROUTING NUMBER: 031100209

I authorize:EMPLOYER OR FUND ORIGINATOR

to initiate credit entries and, if necessary, to initiate any debit entries and adjustments to correct any erroneous credit entries to my Children’s Aid College Savers Account.

SIGNATURE: X DATE:

I understand that this authorization will remain in full force and effect until the company named here has received written notification from me of its termination in such time as to afford the company and depository a reasonable opportunity to act.

• PLAY IT SAFE Direct deposit should take

effect within three deposit periods — if you don’t see it by then, contact your employer.

Note that some organizations or companies (like Social Security) may require you to use a special form. Contact your employer or income source to make sure no other forms are required.

• IF YOU HAVE QUESTIONS ON COMPLETING THIS FORM, CALL YOUR PROGRAM AT 646.741.3500

HELPFUL INFO

* This authorization form is valid only to initiate a direct deposit of funds to a Children’s Aid College Savers Account. Participation in direct deposit is contingent upon your employer or fund originator offering the service and your eligibility to participate.

1737990 08/18

College Savers